CAJ | 학술논문

目的观察小儿术中分别采用乐加(sodium potassium magnesium calcium and glucose injection)和葡萄糖注射液进行静脉补液时患儿血糖浓度的变化情况,为小儿术中补液寻求更为安全、方便、合适的晶体溶液.方法选择ASAⅠ~Ⅱ级,年龄为0~6岁的择期手术患儿40例.手术时间选择不超过2h且无较多失血者,随机分为乐加注射液组(E组)和葡萄糖注射液组(C组).两组均采用静脉复合麻醉.分别于输液前即刻、术后1h和术后2h监测患儿血糖水平.结果 E组患儿血糖浓度波动小于C组,两组间有显著差异(P<0.05).结论小儿术中输注乐加注射液不仅能快速、持久为患儿提供必需能量,而且对血糖水平影响小,是小儿术中理想、安全、合适的静脉补液选择.
목적관찰소인술중분별채용악가(sodium potassium magnesium calcium and glucose injection)화포도당주사액진행정맥보액시환인혈당농도적변화정황,위소인술중보액심구경위안전、방편、합괄적정체용액.방법선택ASAⅠ~Ⅱ급,년령위0~6세적택기수술환인40례.수술시간선택불초과2h차무교다실혈자,수궤분위악가주사액조(E조)화포도당주사액조(C조).량조균채용정맥복합마취.분별우수액전즉각、술후1h화술후2h감측환인혈당수평.결과 E조환인혈당농도파동소우C조,량조간유현저차이(P<0.05).결론소인술중수주악가주사액불부능쾌속、지구위환인제공필수능량,이차대혈당수평영향소,시소인술중이상、안전、합괄적정맥보액선택.
Objective To compare the effects of volume replacement with sodium potassium magnesium calcium and glucose injection and glucose injection on pediatric intraoperative blood glucose.Method 40 ASAⅠ~Ⅱ pediatric patients aged 1~6 years old were randomly divided into experimental group(group E,n=20) and control group(group C,n=20).Group E was infused with sodium potassium magnesium calcium and glucose injection while group C was infused with glucose injection.Arterial blood glucose was measured before infusion,1 hour and 2 hours after infusion.The operative time was not more than two hours and intraoperative blood loss was less(small).Result Blood glucose concentration fluctuated in group E less than in group C.There were significant differences between the two groups(P<0.05).Conclusion Sodium potassium magnesium calcium and glucose injection can not only provide energy,but also have litter effect on blood glucose in pediatric operation.